Organization Active NPI

Art Carpenter DDS LTD

  • General Practice Dentistry
  • Kenilworth, IL
National Provider Identifier
1720153752
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
01902433 Issued in IL
Legal business name
ART CARPENTER DDS LTD
Practice address
450 Green Bay Rd Ste a
Kenilworth, IL 60043-1074
Phone
(847) 251-5004
NPI assigned
Nov 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Art B Carpenter, DDS
Title
Owner
Phone
(847) 251-5004

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 01902433 IL Primary

Addresses

Primary practice location

450 Green Bay Rd Ste a
Kenilworth, IL 60043-1074

Mailing address

450 Green Bay Rd Ste a
Kenilworth, IL 60043-1074
Phone (847) 251-5004

National Provider Directory

National Provider Directory

Locations

450 Green Bay Rd
Ste A
Kenilworth, IL 60043
Phone (847) 251-5004

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1164153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1720153752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 GREEN BAY RD STE A",
            "city": "KENILWORTH",
            "state": "IL",
            "postal_code": "600431074",
            "telephone_number": "847-251-5004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 GREEN BAY RD STE A",
            "city": "KENILWORTH",
            "state": "IL",
            "postal_code": "600431074",
            "telephone_number": "847-251-5004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ART CARPENTER DDS LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CARPENTER",
        "authorized_official_first_name": "ART",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-251-5004",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "01902433",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kenilworth, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.